| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.37 | $115.50 | $578.34 | |
Ambetter
| Professional | $167.95 | $167.95 | $167.95 | |
BCBS
| Facility | $222.61 | $222.61 | $222.61 | |
BCBS
| Professional | $14.14 | $14.14 | $14.14 | |
Cigna
| Facility | $110.00 | $110.00 | $181.94 | |
Cigna
| Professional | $13.15 | $93.50 | $110.00 | |
United
| Professional | $49.08 | $85.89 | $188.57 |